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Ancient Roots Acupuncture and Herbal Medicine LLC.

Company Details

Name: Ancient Roots Acupuncture and Herbal Medicine LLC.
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 01 Feb 2022 (3 years ago)
Identification Number: 001735513
ZIP code: 02906
County: Providence County
Purpose: ACUPUNCTURE AND TRADITIONAL CHINESE MEDICINE
Principal Address: Google Maps Logo 20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI, 02906, USA

Industry & Business Activity

NAICS

621399 Offices of All Other Miscellaneous Health Practitioners

This U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
TAMRA PORTALLA Agent 20 BLACKSTONE BLVD 14, PROVIDENCE, RI, 02906, USA

National Provider Identifier

NPI Number:
1700523040
Certification Date:
2022-05-10

Authorized Person:

Name:
TAMRA PORTALLA
Role:
ACUPUNCTURIST
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202453534240 Annual Report 2024-05-01
202331982220 Annual Report 2023-03-29
202209051360 Articles of Organization 2022-02-01
202568647130 Annual Report 2025-04-01

Date of last update: 15 May 2025

Sources: Rhode Island Department of State